| NPI | 1225482789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVARIA JABEEN Medical Director 817-784-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX q2305) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX q2305) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |